Samuel Raymond Norman, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

021538 Issued in TN

Practice address

436 Central Avenue West
Jamestown, TN 38556-8407

Phone

(931) 879-3242

NPI assigned

Oct 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Certified Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cumberland Anesthesia Group LLC

  • Anesthesiology Physician
  • Crossville, TN
  • NPI 1801034269
  NPD (past)
• Cumberland Medical Center, Inc.

  dba Cumberland Medical Center

  • General Acute Care Hospital
  • Crossville, TN
  • NPI 1871596403
  NPD (past)
• Deercreek Anesthesia Consultants PLLC

  • Anesthesiology Physician
  • Crossville, TN
  • NPI 1982658019

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Hma Fentress County General Hospital

  dba Jamestown Regional Medical Center

  • Cardiovascular Disease Physician
  • Jamestown, TN
  • NPI 1427349877
  NPD (past)
• Hma Fentress County General Hospital LLC

  dba Tennova Healthcare-Jamestown

  • Psychiatric Hospital Unit
  • Jamestown, TN
  • NPI 1053648741
  NPD (past)
• Hma Fentress County General Hospital LLC

  dba Tennova Healthcare-Jamestown

  • General Acute Care Hospital
  • Jamestown, TN
  • NPI 1093760712

  Nurse Anesthetist, Certified Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013092527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 LEONARD SMITH RD",
            "city": "CLARKRANGE",
            "state": "TN",
            "postal_code": "385535036",
            "telephone_number": "931-863-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 CENTRAL AVENUE WEST",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385568407",
            "telephone_number": "931-879-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "SAMUEL",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "021538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain View Physician Practice Inc
• Melissa Neal
• Nichols and Hill Counseling and Therapy Services, PLLC
• Raquel Nichols, LMFT, LPCC
• Noay Respiratory, LLC
• Dale Wayne Norris, M.D.
• Sharon Rose Parris, F.N.P.
• Joseph Payant
• Kimberly Peavyhouse
• James Pittman, D.O.

• Certified Registered Nurse Anesthetist in Jamestown, TN
• Providers in Jamestown, TN by specialty
• Certified Registered Nurse Anesthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.